Individual
TERESE PROPECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 NW BURNSIDE RD, GRESHAM, OR 97030-3852
(503) 667-7480
Mailing address
PO BOX 142, TROUTDALE, OR 97060-0142
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3227
OR
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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